Interpretation of Beijing Medical Insurance Policy in 2020 1. Interpretation of Beijing Medical Insurance Policy in 2020. The policy stipulates that the examination expenses incurred by urban and rural residents in designated hospitals during the hospitalization (single time) within the scope of reimbursement, up to 200 yuan (including 200 yuan), will be directly included

Reimbursement is proportional; for the portion above 200 yuan to 1,000 yuan (including 1,000 yuan), the individual pays 10% out of pocket; for the portion above 1,000 yuan, the individual pays 20% out of pocket, and the remaining portion is reimbursed proportionally.

For special medical materials within the scope of reimbursement used by urban and rural residents during surgeries, the portion up to 2,000 yuan (inclusive) will be reimbursed on a proportional basis; the portion of domestic special medical materials between 2,000 yuan and 10,000 yuan (inclusive) will be reimbursed after 20% of the personal burden.

, the remaining part will be included in the proportional reimbursement; for the part of domestic special medical materials above 10,000 yuan, and the part of imported or joint venture special medical materials above 2,000 yuan, after the individual pays 50%, the remaining part will be included in the proportional reimbursement.

All types of cardiac pacemakers are subject to price limit settlement. The price limit at settlement is 66,000 yuan. The portion within the price limit will be reimbursed proportionally according to the above regulations. The portion above the price limit will be borne by the individual.

2. Interpretation of Beijing’s medical insurance policy in 2020. The policy stipulates: The “two diseases” refer to hypertension and diabetes. Anyone who participates in the basic medical insurance for urban and rural residents in our city and pays medical insurance premiums on time is diagnosed with hypertension or diabetes and needs to take medication in the outpatient department.

All insured patients of urban and rural residents in our city who receive intervention treatment can be included in the coverage of general outpatient services for "two diseases".

All patients with "two diseases" who participate in the basic medical insurance for urban and rural residents in our city submit a written application, and are diagnosed by a physician with the qualification to diagnose "two diseases" at a secondary or above public hospital in the coordinating area, and the medical insurance department of the medical institution where they are located signs and seals.

Only after the medical insurance information system of the medical insurance agency (or the insurance company undertaking the chronic disease management business) has confirmed the registration can it be included in the scope of "two diseases" benefits.

The "Two Diseases" general outpatient reimbursement limit policy stipulates that within one year, the fund payment limit for general outpatient product expenses incurred by patients with hypertension and diabetes is 300 yuan per person, and at the same time, the fund payment limit for general outpatient product expenses for patients with hypertension and diabetes is confirmed.

It is 600 yuan per person, which will be cleared after the end of a year and will not be carried forward.

Friendly reminder: The above interpretation of Beijing’s medical insurance policy in 2020 comes from the Internet and is for reference only!

Specific policies are based on the standards given by each district's medical security bureau, finance bureau, human resources and social security bureau, education committee, and designated medical institutions.

2020 Beijing Enterprise Medical Insurance Waiver and Waiver Policy The 2020 Beijing Corporate Medical Insurance Waiver and Waiver Policy will extend the period of phased reduction and exemption of corporate social insurance premiums: 1. Basic pension insurance, unemployment insurance and work-related injury insurance for small, medium and micro enterprises (including individual industrial and commercial households insured by units)

(hereinafter referred to as the three social insurances), the policy of partially exempting unit contributions has been extended to the end of December 2020.

2. The policy of halving the payment of three social insurance units by large enterprises and other insured units (excluding government agencies and institutions) will be extended to the end of June 2020.

3. Insured units that encounter serious difficulties in production and operation due to the epidemic can continue to defer the payment of three social insurance premiums until the end of December 2020, and late payment fees will be waived during the deferment period.

If the participating units reach an agreement with their employees, they can defer the withholding and repayment of personal contributions at the same time. During the period of deferment, no interest will be accrued on the personal account premiums for the enterprise's basic pension insurance. The insured units will pay the premiums in a timely manner before the expiration of the period.

During the deferment period, if there are employees who receive basic pensions, handle inter-provincial transfers, apply for unemployment insurance benefits, death settlements and other related account liquidation services, the participating units need to handle payment procedures separately for the employees.

3. The lower limit of the individual payment base for basic pension insurance and unemployment insurance in 2020 will continue to follow the lower limit of the individual payment base in 2019, and the upper limit of the individual payment base will be adjusted normally according to regulations.

4. Individual industrial and commercial households and various types of flexible employment personnel who participate in the basic pension insurance for enterprise employees as individuals and have difficulty paying basic pension insurance premiums in 2020 can voluntarily defer payment.

You can continue to pay in 2021, and the payment period is calculated cumulatively; for the unpaid months in 2020, you can make back payments before the end of 2021, and the payment base can be selected independently within the upper and lower limits of the city's personal payment base at the time of back payment.

New regulations on Beijing’s medical insurance for one old and one primary school in 2020. In order to ensure the healthy and sustainable development of the city’s basic medical insurance for urban and rural residents, with the consent of the municipal party committee and the municipal government, the new regulations on Beijing’s one-old-one and one-child medical insurance are hereby adjusted in 2020. The relevant policies are notified as follows: 1

, In 2020, the individual payment standards for the city's basic medical insurance for urban and rural residents will be adjusted to: 300 yuan per person per year for urban and rural elderly people, students and children, and 520 yuan per person per year for residents of working age.